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CERTIFICATE OF LIABILITY INSURANCE
OP ID LB CERTIFICATE OF LIABILITY INSURANCE ACORD DATE (MMIDD/YYYY) . NEIGH-2 12/09/08 PRODUCER' - THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Scarr Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8200 113th Street N Ste 202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seminole FL 33772 Phone:727-393-5055 Fax:727-392-0497 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: Natianride Mutual Fire Lv Co 11111 INSURER B'. PINELLAS CORE MANAGEMENT INSURER C SERVICES INC . . 4500 140'iH AVE N # ST 220 INSURER D. CLEARWATER FL 33762-3803 INSURER E' f n%1FRAn FA THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IMSK LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRAII0 DATE (MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 77BO4807433001 09/10/08 01/21/09 PREMISES(Eaoccurence) $50,000 CLAIMS MADE I OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP/OP AGG $ 1,000,000 X POLICY JEC LOC AUT OMOBILE LIABILITY ANY AUTO - -- --.,,.,.?.... COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS v 4 BODILY INJURY $ SCHEDULED AUTOS r ' 7 (Per person) HIRED AUTOS I r{' I I O4U BODILY INJURY $ NON-OWNED AUTOS { (Per accident) ° PROPERTY DAMAGE $ ?. _ 7 G.-a'T (Per accident) GARAGE LIABILITY , AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ R AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT! SPECIAL PROVISIONS Subject to policy terms, conditions S exclusions Added 2 locations at 612 Franklin Street, Clearwater, FL 33756 and 1201 Douglas Ave. Clearwater, FL 33755 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Clearwater NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Attorneys Office Janet Skinner IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 645 Pierce Street REPRESENTATIVES. Clearwater FL 33756 AUTHORIZED REPRESENTATIVE Barr Scarr ACORD 25 (2001108) © ACORD CORPORATION 1988 ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID LB LB DATE (MMIDDIYYYY) NEIGH-2 12/09/08 PRODUCER"- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Scarr Insurance Group HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8200 113th Street N Ste 202 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Seminole FL 33772 Phone:727-393-5055 F'ax:727-392-0497 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: nationwide Mutual Fire Ina Co 11111 - INSURER B. PINELLAS CORE MANAGEMENT SERVICES INC. INSURER C 4500 140'iH AVE N # ST 220 CLEARWATER FL 33762-3803 INSURER D. INSURER E'. COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE (MMIDDIYY) DATE (MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 77BO4807433001 09/10/08 01/21/09 PREMISES(Eaoccurenc.) $50,000 CLAIMS MADE ? OCCUR MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $ 1,000,000 ]{ POLICY jEa LOC AUT OMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY ALTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per Person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ F ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR EICLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND ' TORY LIMITS ER EMPLOYERS LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Subject to policy terms, conditions & exclusions Added 2 locations at 612 Franklin Street, Clearwater, FL 33756 and 1201 Douglas Ave. Clearwater, FL 33755 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN City of Clearwater NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of Attorneys office Janet Skinner IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR 645 Pierce Street REPRESENTATIVES. Clearwater FL 33756 AUTHORIZED REPRESENTATIVE [ Barry Scarr ACORD 25 (2007108) 0 ACORD CORPORATION 1988